Evidence map›Paper›PMID 26643102›Full record

ReviewBest practice & research. Clinical anaesthesiology2015

Perioperative ventilatory strategies in cardiac surgery.

François Lellouche, Mathieu Delorme, Jean Bussières, Alexandre Ouattara

Registry-linked trialAbstract readReview
In one paragraph

Review in Best practice & research. Clinical anaesthesiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03255356 (International Multicentre Observational Trial of Perioperative Ventilatory Management in Cardiac Surgery), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03255356 unknown statusnot on this mapstarted 2017, after this paper: background citation

International Multicentre Observational Trial of Perioperative Ventilatory Management in Cardiac Surgery

TypeobservationalSponsorUniversity Hospital, CaenRan2017 to 2017Enrolled1,000ConditionsRespiratory Complication, Respiration, Artificial, Anesthesia, General, Bypass, CardiopulmonaryArmsSurvey
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. The benefit of a preoperative respiratory protocol and musculoskeletal exercise in patients undergoing cardiac surgery.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2020
    Article
  6. Observational
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

François LelloucheInstitut Universitaire de Cardiologie et Pneumologie de Québec, Faculté de Médecine, Université Laval, Ville de Québec, Canada. Electronic address: francois.lellouche@criucpq.ulaval.ca.
Mathieu DelormeInstitut Universitaire de Cardiologie et Pneumologie de Québec, Faculté de Médecine, Université Laval, Ville de Québec, Canada; CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Univ. Bordeaux, Adaptation Cardiovasculaire à l'ischémie, U1034 et INSERM, Adaptation Cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France. Electronic address: mathieu.delorme@chu-bordeaux.fr.
Jean BussièresInstitut Universitaire de Cardiologie et Pneumologie de Québec, Faculté de Médecine, Université Laval, Ville de Québec, Canada. Electronic address: jbuss@criucpq.ulaval.ca.
Alexandre OuattaraCHU de Bordeaux, Service d'Anesthésie-Réanimation II, Univ. Bordeaux, Adaptation Cardiovasculaire à l'ischémie, U1034 et INSERM, Adaptation Cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France. Electronic address: alexandre.ouattara@chu-bordeaux.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent data promote the utilization of prophylactic protective ventilation even in patients without acute respiratory distress syndrome (ARDS), and especially after cardiac surgery. The implementation of specific perioperative ventilatory strategies in patients undergoing cardiac surgery can improve both respiratory and extra-pulmonary outcomes. Protective ventilation is not limited to tidal volume reduction. The major components of ventilatory management include assist-controlled mechanical ventilation with low tidal volumes (6-8 mL kg(-1) of predicted body weight) associated with higher positive end-expiratory pressure (PEEP), limitation of fraction of inspired oxygen (FiO2), ventilation maintenance during cardiopulmonary bypass, and finally recruitment maneuvers. In order for such strategies to be fully effective, they should be integrated into a multimodal approach beginning from the induction and continuing over the postoperative period.

Indexed as

AnimalsCardiac Surgical ProceduresHumansLung DiseasesOxygenPerioperative CarePositive-Pressure RespirationPostoperative ComplicationsRespiration, ArtificialRespiratory Distress SyndromeTidal VolumeOxygencardiac surgerycardiopulmonary bypassmechanical ventilationoxygenPEEPrecruitmenttidal volume

Identifiers

PMID26643102
PMCPMC10068651

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.